| NPI | 1740330299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 1655) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME AP101043) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-10-01 |